HomeMy WebLinkAboutAUTH-08-2021-156120.TIF ( 1
catawba county
public health
August 15, 2025
Stephanie Cicala
3276 Glady Ln.
Newton, NC 28658
Subject: Notice of Intent to REVOKE the Improvement and Authorization to Construct Permits for 3276
Glady Ln., Newton, NC 28658; PIN: 360804608089; Catawba County Permits IMPV-08-2021-156119
and AUTH-08-2021-156120
Dear Permittee:
The Environmental Health Division of Catawba County Public Health intends to revoke your Improvement
and Authorization to Construct Permits 30 days from the date of this notice.
You must apply for a new Improvement Permit and Authorization to Construct Permit and meet the
requirements of the current laws and rules necessary to obtain a new Improvement Permit and
Authorization to Construct.
You have a right to an informal review of this decision. You may request an informal review by the
environmental health supervisor at the local health department.You may also request an informal review
by the Department of Health and Human Services' Regional Soil Scientist. A request for informal review
must be made in writing to the local health department.
You also have a right to a formal appeal of this decision.To pursue a formal appeal,you must file a petition
for a contested case hearing with the Office of Administrative Hearings, 1711 New Hope Church Rd,
Raleigh, NC 27609. You may write the Office of Administrative Hearings, call the office at 984-236-1850,
or get a copy of the petition form from the OAH web site at http://www.oah.nc.gov. The petition for a
contested case hearing must be filed in accordance with the provision of General Statutes 130A-24 and
150B-23 and all other applicable provisions of Chapter 150B. General Statute 130A-335(g) provides that
your hearing will be held in the county where your property is located.
If you wish to pursue a formal appeal, you must file the petition form with the Office of Administrative
Hearings WITHIN 30 DAYS OF THE DATE OF THIS LETTER.The date of this letter is August 15,2025. Meeting
the 30-day deadline is critical to your formal appeal.
catawbacountync.gov
Environmental Health
Catawba County Government Center
25 Government Drive PO Box 389 Newton NC 28658 828.465.827C
MAKING. LIVING. BETTER.
If you file a petition for a contested case hearing with the Office of Administrative Hearings, you are
required by General Statute 150E-23 to serve a copy of your petition on the Registered Agent for the
Department of Health and Human Services:Julie Cronin, Office of General Counsel, Department of Health
and Human Services, 2001 Mail Service Center, Raleigh, N.C. 27699-2001.
Do not serve the petition on your local health department. Sending a copy of your petition to the local
health department will not satisfy the legal requirement in General Statute 150B-23 that you send a copy
to the Office of General Counsel, 2001 Mail Service Center, Department of Health and Human Services.
Respectfully,
Blake Perkins, MS, REHS
Environmental Health Specialist
Catawba County Public Health
Catawba county
public health
VOLUNTARY RELINQUISHMENT OF ADMINISTRATIVE APPEAL RIGHTS
Date prepared: August 15,2025
Owner(s): Stephanie Cicala
Mailing Address: 3276 Glady Ln.
Newton,NC 28658
Property location/site legal description: 3276 Glady Ln.,Newton,NC 28658
PIN: 360804608089
Improvement Permit(IP) IMPV-08-2021-156119 Date Issued: 8/16/21
Authorization to Construct(AC) AUTH-08-2021-156120 Date Issued: 8/16/21
1,Qc.Y\,clva C A e d(voluntarily relinquish my rights to pursue a formal appeal through the North
(print full name)
Carolina Office of Administrative Hearings pursuant to NC General Statute 130A-24 and 150B-23 and all other applicable
provisions of Chapter 150B for the above referenced permits(which includes the IPs and ACs)in order for the authorized
agent/local health department to issue the applicable permits(new IP and/or AC)for the site. I understand by completing this form
that the permits for a
l lb-25%reduction
(System description)
will be revoked immediately by the authorized agent/local health department.
I understand that the local health department's revocation of a permit can be appealed to the Non Carolina Office of Administrative
Hearings within 30 days of the revocation pursuant to the North Carolina Administrative Procedure Act. 1 understand that in order for
the local health department to issue another IP and AC that the current IP and AC must be revoked. I understand that the local health
department's revocation of an IP or AC is not effective until 30 days from the revocation or, if the revocation is appealed,at the time
that the Office of Administrative Hearings issues a final decision. I understand that by signing this form and relinquishing my right to
appeal the permit revocation at the Office of Administrative Hearings that the local health department's permit revocation will become
effective immediately. I understand and agree that the revocation of a permit that takes effect immediately is in my best interest. I
understand that by signing this form that I agree that I do not want to appeal the permit revocation.
I understand that I am not required to relinquish my appeal rights but that this is an option available to me so I do not have to wait 30
days for the revocation of the permit to take effect.
Signature of Property Owner: '( CL Lgp c.
Date Signed: _ 1) / (D1 a0 G.c
NCDHHS/DPH/EHS/OSWP Revised May 2015
catawbacountync.gov
Environmental Health
Combo County Government Center
25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270